Robotic Partial Nephrectomy with the Da Vinci Xi
Robotic Partial Nephrectomy with the Da Vinci Xi
复制标题
使用 Da Vinci Xi 进行机器人肾部分切除术
作者：
G. Kallingal;S. Swain;Fadi Darwiche;S. Punnen;M. Manoharan;M. Gonzalgo;D. Parekh
目的.进行机器人肾部分切除术的外科专业知识在很大程度上依赖于技术。Da芬奇Xi（XI）是最新的机器人手术平台，与其前身相比具有显著进步。我们描述了我们的手术技术和经验与机器人肾部分切除术（RPN）的XI系统。材料和方法。临床T1肾脏肿块患者接受XI RPN。我们使用激光靶向、自动定位和一种新颖的“在线”端口放置来执行RPN。结果15例患者使用XI进行了RPN。无术中并发症，无手术转换。平均控制台时间为101.3分钟（范围44-176分钟）。平均缺血时间为17.5分钟，估计失血量为120 mL。15例患者中12例为肾细胞癌。2例患者为嗜酸细胞瘤，1例为良性囊性病变。所有患者均无手术切缘和病理T1病变。两个术后并发症，包括一个病人谁开发了假性动脉瘤和一个重新入院的假定尿路感染。结论.使用XI系统可以安全地进行RPN。将我们的手术技术与XI的技术进步相结合，为患者提供了可接受的病理和围手术期结局。
Purpose. The surgical expertise to perform robotic partial nephrectomy is heavily dependent on technology. The Da Vinci Xi (XI) is the latest robotic surgical platform with significant advancements compared to its predecessor. We describe our operative technique and experience with the XI system for robotic partial nephrectomy (RPN). Materials and Methods. Patients with clinical T1 renal masses were offered RPN with the XI. We used laser targeting, autopositioning, and a novel “in-line” port placement to perform RPN. Results. 15 patients underwent RPN with the XI. There were no intraoperative complications and no operative conversions. Mean console time was 101.3 minutes (range 44–176 minutes). Mean ischemia time was 17.5 minutes and estimated blood loss was 120 mLs. 12 of 15 patients had renal cell carcinoma. Two patients had oncocytoma and one had benign cystic disease. All patients had negative surgical margins and pathologic T1 disease. Two postoperative complications were encountered, including one patient who developed a pseudoaneurysm and one readmitted for presumed urinary tract infection. Conclusions. RPN with the XI system can be safely performed. Combining our surgical technique with the technological advancements on the XI offers patients acceptable pathologic and perioperative outcomes.